amylpn24

amylpn24

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All Content by amylpn24

  1. MDS training/certification

    My opinion is this. The AANAC certification is great but.....I do not believe that if you do not have any experience in the MDS, you will understand it. The best thing for you to do before taking a...
  2. Today is Oct 1st. All set?

    Well, All I can say is be glad that you have any help at all!! The only reprieve we have been able to get is "don't put the MDS/PPS Coordinators on call for three weeks".
  3. mds 3.0

    Don't let the 3.0 scare the life out of you. When you look at the big picture, it is not really THAT different. What is different is that now instead of interviewing the staff and forming your own...
  4. Supervision with set up. 1/1. Using your eyes is considered
  5. Where do all the MDS Coordinators live?

    I am an MDS nurse with several years of experience and thoroughly trained in the 3.0. Willing to travel, do freelance work for the right price. Hold compact
  6. Time to get a new job!!! MDS Coordinators can and will have more of an opportunity in with the 3.0 to write their own ticket. Get out of
  7. 15 months of MDS ....

    I believe the answer to this question depends on facility policy. We do keep the chart for 30 days and start over after that. As far as the MDS's being on the chart, I'm not quite sure what one has to...
  8. In this case, you would change the ARD to the day of discharge. There is nothing in the RAI that says that the MDS nurse must do an or the assessment. You just use what information that you have from...
  9. All I can say is WOW! I too have a lot of additional responsibilities and it makes me crazy!! In my opinion, any administrator and DON should be well versed in MDS and realize that it is US who are...
  10. case mix

    Yes, it does matter. This is how you make the money and if you understand nothing else about the MDS/PPS, learn this. Do you have a RUG crosswalk? If not, ask your corporate MDS nurse, she or he...
  11. ADL care plan

    yes, that is correct. Never be too specific in a plan of care. If it changes, which it does frequently and no one gets to the CP to change it, you've got yourself an F
  12. Staff RN doing MDS

    It may be the "norm" these days as facilities are struggling to make and save money however able. The problem is, they need to take a step back and realize that the MDS or PPS nurse (THE...
  13. Raising CMI

    just keep in mind that you may not move the ard date once an assesment window has closed, or if you have already picked an ard date and that date has passed. example: last quarterly r2b was 2/1/09,...
  14. Treat every payor source as if it were medicare or medicaid. This will save you a lot of pain in the long run when you find out that the resident was actually medicare and NOT private
  15. Exactly what was said previously. Do not care plan for the state, care plan for the resident. You will never master what the state is looking for because, A) It varies B)It depends on the surveyor...
  16. Raising CMI

    I want to just clarify the reply i made yesterday. When I say write your own note if you have to, what i mean is after talking with direct care staff, document what they say. Just make sure you do it...
  17. Raising CMI

    ADL's are by far the most miscoded item. Behaviors as well. You must do education continuously with your nurses and CNA's. I don't know what kind of program you have, but the one I use calculates...
  18. certifiation recerts

    The fact is, it is different in every building. I have been in buildings where medical records was responsible. I am currently employed as a PPS Coorinator and it is my job. As far as them being...
  19. JOBS KATY, TX

    Hi everyone!!! I will be moving to katy a month from now. Looking for a good job that pays decent. Anyone have any ideas? I am an LPN with greater than 16 years exp. Currently Nurse manager/MDS...
  20. Nine Or More Meds?

    You're right, we do careplan potential problems but taking nine or more medications does pose a potential problem, that's why it is a quality indicator. Not sure about other states - but Kansas wants...
  21. Nursing? Is this nursing?

    I am sure that I am beating the dead horse here but the question still remains. What happened to nursing? I have been a practicing LPN for greater than 14 years. In this short amount of time, I have...
  22. Nine Or More Meds?

    We have to careplan for this as well. This is a quality indicator and if it is not careplanned you are likely to get a tag. At least here in Kansas. My careplan goes something like this; problem:...
  23. My God, these family members!!

    I agree whole heartedly!!!! It's like this; NURSE= ONE WHO CAN BE VERBALLY ABUSED AT ANY TIME AND FOR ANY REASON. THERE WILL BE NO REPRECUSSIONS. (Did i spell that right?) Anyhow, I too wish there...
  24. Medication Error, What do you think

    Get a new
  25. Teach me how to document--PLEASE!

    I dont know if they still teach this but use SOAP notes. Subjective, Objective, Assessment and Plan. What the pt. says, what you see, your assessment of what you see and do and what you plan to do....